Facility Evaluation Report

On 02/23/2023 at 3:15 PM, Licensing Program Analyst (LPA) J. Sampair conducted an infection control annual inspection. Upon entry, LPA explained the purpose of the visit to Administrator (ADM) Connie Vigo. ADM and LPA toured facility inside and outside.

Facility has an infection control plan in place that they are following. The designated infection control leader is the administrator. They have one central entry point that has been designated for universal entry screening with visitor's log, sanitizer, face masks, and no touch thermometer. Facility follows daily cleaning, sanitation of frequently touched common surfaces with disinfectants. COVID-19 signs were posted.

The LIC 610D Emergency/Disaster plan was in the Disaster Plan binder. Centrally stored medications were in locked cabinets. The temperature inside of the facility was 73.0 and the hot water was 109 degrees Fahrenheit, both of which were in the safe range. Toxic chemicals and sharp objects were stored in locked closets and cabinets. Carbon monoxide and smoke detectors were fully functional and the fire extinguishers were fully charged and had been serviced within one (1) year. To fulfill their duties oversee business operations, an administrator is on site at least 20 hours each week.

ADM will send updated copies of these documents to CCL on or before 03/02/2023:

· LIC308 - Designation of Facility Responsibility

· Evidence of Liability Insurance & Surety Bond

Exit interview conducted and a copy of this report provided via email.